TEST BANK: ESSENTIAL OF PSYCHIATRIC MENTAL HEALTH

TEST BANK: ESSENTIAL OF PSYCHIATRIC MENTAL HEALTH 1. A jilted college student is admitted to a hospital following a suicide attempt and states, “No one will ever love a loser like me.” According to Erikson’s theory of personality development, a nurse should recognize that this patient has a deficit in which developmental stage? 1. Trust versus mistrust 2. Initiative versus guilt 3. Intimacy versus isolation 4. Ego integrity versus despair 2. A nurse observes a 3-year-old client willingly sharing candy with a sibling. According to Peplau, which psychological stage of development should the nurse determine that this child has completed? 1. Learning to count on others 2. Learning to delay satisfaction 3. Identifying oneself 4. Developing skills in participation 3. A 9-month-old child screams every time his mother leaves and will not tolerate anyone else changing his diaper. The nurse should determine that, according to Mahler’s developmental theory, this child’s development was arrested at which phase? 1. The autistic phase 2. The symbiotic phase 3. The separation-individuation phase 4. The rapprochement phase 4. According to Peplau, a nurse who provides an abandoned child with parental guidance and praise following small accomplishments is serving which therapeutic role? 1. Technical expert 2. Resource person 3. Surrogate 4. Leader 5. When assessing clients, a psychiatric nurse should understand that psychoanalytic theory is based on which underlying concept? 1. A possible genetic basis for the client’s problems 2. The structure and dynamics of the personality 3. Behavioral responses to stressors 4. Maladaptive cognitions 6. Which underlying concept should a nurse associate with interpersonal theory when assessing a client? 1. The effects of social processes on personality development 2. The effects of unconscious processes and personality structures 3. The effects on thoughts and perceptual processes 4. The effects of chemical and genetic influences 7. A physically healthy, 35-year-old, single client lives with his parents, who provide total financial support. According to Erikson’s theory, which developmental task should a nurse assist the client to accomplish? 1. Establishing the ability to control emotional reactions 2. Establishing a strong sense of ethics and character structure 3. Establishing and maintaining self-esteem 4. Establishing a career, personal relationships, and societal connections 8. A 1-month-old infant is left alone for extended periods, has little physical stimulation, and is malnourished. Based on this infant’s situation, in which phase of development, according to Mahler’s theory, should a nurse expect to see a potential deficit? 1. The symbiotic phase 2. The autistic phase 3. The consolidation phase 4. The rapprochement phase 9. A 6-year-old boy uses his father’s flashlight to explore his 3-year-old sister’s genitalia. According to Freud, in which stage of psychosocial development should a nurse identify this behavior as normal? 1. Oral 2. Anal 3. Phallic 4. Latency 10. A married, 26-year-old client works as a schoolteacher. She and her husband have just had their first child. A nurse should recognize that this client is successfully accomplishing which stage of Erikson’s developmental theory? 1. Industry versus inferiority 2. Identity versus role confusion 3. Intimacy versus isolation 4. Generativity versus stagnation